Angel Prestige Residential Care, LLC
NPI 1205106770ActiveOrganization· Rehabilitation Practitioner· San Jose, CA
Rehabilitation Practitioner in San Jose, California, registered in NPPES in December 2011. The authorized official on file is Hermando Esguerra, Administrator.
Overview
| NPI | 1205106770 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 30, 2011 |
| Last updated in NPPES | Jan 23, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | RN41086 | NV |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | 4185AGC-6 | NV |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | 3220AGC-13 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Rehabilitation Practitioner providers in San Jose
- 1487338554
- 1285302562
- 1376044701
- 1053830711
- 1982419396
- 1902639339
- 1275688384
- 1588162127
- 1437624335
- 1134007586
- 1467290676
- 1568374577